巻号一覧
39 巻, 1 号
選択された号の論文の11件中1～11を表示しています
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加藤 明理, 臼井 信郎, 武安 陽子, 岩田 章男1988 年 39 巻 1 号 p. 1-7
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーMethacholine, usually used in the research for responsiveness of lower airway, causes swelling of nasal mucosa and hypersecretion, and consequently nasal respiratory resistance increases. Patients were instructed to inhale Methacholine through nose with Astograph and a change of nasal respiratory resistance was observed. Subjects were 19 males and 34 females, who had nasal obstruction, watery rhinorrhea and sneeze, and had an abnormal sense at pharyngeal area.
Nasal respiratory resistance increased after inhalation of Methacholine in 26 subjects and nasal respiratory resistance did not change in 27 subjects. We devided the 26 subjects with increased nasal respiratory resistance into four groups according to their past medical history, existence of eosinocyte in nasal secretion, result of allergen skin test, IgE RAST, and MEFV curve pattern. Four groups are: 1) non-allergy: 6 subjects, 2) nasal allergy: 6 subjects, 3) nasal allergy with asthma in the past history: 8 subjects, 4) nasal non-allergy with asthma in the past history: 6 subjects.
Primary nasal respiratory resistance (Rrs·N·cont) increased in order of the first group, the fourth group, the second group, and the third group. Minimum dose of Methacholine that caused an increase of nasal respiratory resistance (Dmin·N) decreased in order of the third group, the fourth group, the second group, and the first group. Slope signifying increased of nasal respiratory resistance (Sd · N) increase in order of the first group, the second group, the fourth group, and the third group.
From the above observations, we obtained following results. Responsiveness of the nasal mucosa in patients with nasal allergy and with asthma in the past history is higher than those with nasal allergy alone or those with asthma alone in the past history.
In the nasal mucosa, there is stronger responsiveness in patients with responsiveness of lower airway than those with responsiveness of upper airway.抄録全体を表示PDF形式でダウンロード (1180K) -
渋沢 三伸, 辺土名 仁, 矢野 一彦, 市川 容子, 河野 辰幸, 吉野 邦英1988 年 39 巻 1 号 p. 8-14
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーThe resting pressure and the pressure changes of the pharyngoesophageal segment during swallowing were recorded in 15 normal subjects.
A specially designed intracorporeal type of measuring device which had three strain gauge type microtransducers was used for the pressure measurements. The three recording orifices were separated by arcs of 120° and by 5-cm intervals in the vertical direction.
C. S. Winans showed in 1972 that the resting pressure within the pharyngoesophageal high pressure zone was dependent upon orifice orientation. According to the present results, the deglutition pressure changes within the high pressure zone was also closely related to orifice direction.
We obtained some useful informations through the analysis of the wave form of pressure changes.抄録全体を表示PDF形式でダウンロード (1306K) -
酒井 昇, 末永 通, 田中 克彦, 寺山 吉彦1988 年 39 巻 1 号 p. 15-19
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーThe differentiation of the arytenoid mucosa in human fetuses have been studied only by light microscopy. So, we studied the arytenoid mucosa in human fetuses (at gestational ages from the 7th to 18th week) by scanning and transmission electron microscopies, and could disclose more detailed features of cytodifferentiation of this mucosa. These results and the review of the literatures lead to the following conclusions:
1. We could demonstrate for the first time that primary cilia appear in the arytenoid mucosa at the 7th and 8th week of gestation.
2. Ciliated cells began to appear at the 8th week of gestation which was earlier than the reports by light microscopy, moreover we could get the details of ciliogenesis using electron microscope.
3. Glycogen granules in non-ciliated cells decreased in parallel with the differentiation of the cells, suggesting that they provide a source of energy necessary for the cell differentiation.抄録全体を表示PDF形式でダウンロード (4279K) -
イヌの後輪状披裂筋についての検討河村 裕二1988 年 39 巻 1 号 p. 20-28
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーIn order to clarify relationship between muscle typing and mode of innervation of the intrinsic laryngeal muscles, following three morphological studies were made on the posterior cricoarytenoid muscle of dog; 1) analysis of muscle fiber composition by means of histochemical techniques, 2) light microscopic observation on the terminal endings of motor neuron stained by silver inpregnation method, 3) scanning electron microscopic observation on the subneural apparatus. Three types of muscle fiber, type 1, 2A and 2C were differentiated by histochemical stainings; myosin ATPase, succinic dehydrogenase and reduced nicotinamide dinucleotide dehydrogenase staining. The muscle consisted of 45. 7% of type 1, 51. 3% of type 2A and 3. 0% of type 2C.
All muscle fibers were focally innervated with the plate-like (en plaque) end plates. No multifocal innervation was found. There were three types of subneural apparatus namely A, B and C types, which were characterized by the following findings.
A type: The area of subsynaptic apparatus (ASA) was the smallest. Primary synaptic clefts (PSC) formed grooves with sparse, pit-like openings of the secondary synaptic clefts (SSC).
B type: The ASA was larger than that of A type. PSC formed grooves with dense, slit-like and pit-like openings of SSC.
C type: The ASA was the largest and muscle fiber the finest. PSC formed a large number of small oval depressions and SSC were much sparse.
The histochemical study and morphometrical analysis indicated that subneural apparatus of the 1, 2A and 2C muscle fiber corresponded to A, B and C type respectively.抄録全体を表示PDF形式でダウンロード (6522K) -
悪性腫瘍新鮮例について古川 政樹, 湯山 誠一郎, 金子 まどか, 古川 滋, 柊 光一, 久保田 彰, 大石 公直, 澤木 修二, 猪狩 秀則1988 年 39 巻 1 号 p. 29-39
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーThe vocal cord paralysis may be caused by the occult type malignancies. The tumor occupies along the route of the vagus nerve or recurrent laryngeal nerve. To detect such a malignant tumor, it is advocated that the diagnosis should be performed with various kind of figures, such as X-ray picture, CT and ultrasonography. Consequently 13 cases were diagnosed to the malignant tumors among 31 vocal cord paralysis cases. They were thyroid cancer, lung cancer, esophageal cancer and others. CT and ultrasonography were very useful for the evaluation of the mass lesions in the head and neck area. Additionally, the fine needle aspiration biopsy under the ultrasonographic imaging was available to diagnose whether the mass lesions were benign or malignant.
Consequently 13 cases were diagnosed to the malignant tumors among 31 vocal cord paralysis cases. They were thyroid cancer, lung cancer, esophageal cancer and others.
CT and ultrasonography were very useful for the evaluation of the mass lesions in the head and neck area. Additionally, the fine needle aspiration biopsy under the ultrasonographic imaging was available to diagnose whether the mass lesions were benign or malignant.抄録全体を表示PDF形式でダウンロード (7474K) -
高山 悦代, 福田 宏之, 齋藤 誠次, 齋藤 成司1988 年 39 巻 1 号 p. 40-44
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーThe microsurgery of the larynx has been successfully employed all over the world for diagnosis and treatment of the laryngeal lesions. In addition to the conventional method of the laryngomicrosurgery under a direct laryngoscope, a flexible therapeutic laryngofiberscope has been used for minor biopsy or phonosurgical resection of laryngeal lesions.
We have employed such a fiberscope for silicone injection on cases of unilateral recurrent nerve paralyzed vocal fold. This new technique has been successfully performed and excellent results have been obtained;
This method is highly recommended based upon following viewpoints;
1) available even for patients who can not open their mouth because of odontological problems, or patients with severe cardiovascular lesions, 2) no severe painful and uncomfortable sensation during the operation, and 3) available under local anesthesia without admission.抄録全体を表示PDF形式でダウンロード (4226K) -
近 芳久, 藤村 裕, 及川 尚, 立木 孝1988 年 39 巻 1 号 p. 45-53
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーNot a little number of patients accidentally swallow PTP (press through package or blister package of tablets) pieces. PTP pieces account for about ten percent of all foreign bodies in the esophagus in Japan.
Author reported 24 cases of misswallowing of package pieces of medical tablets (23 cases swallowed PTP and one case swallowed SP-strip package-) treated in his clinic during the period of 1966 to 1987, and discussed the ingestion of PTP pieces by means of case-control study.
The results were summarized as follows.
1) The patients, who misswallowed the package pieces of tablets, had no significant property in their physical state and the manner of internal use. The ingestion of PTP pieces, as a“human error”through the carelessness, happened in the ordinary patients who took the ordinary medical tablets in the ordinary manners.
2) The background of PTP ingestion was supposed to be the decline of psychological importance of the internal use.
3) Modification of the package of tablets or change of the present dispensing system may prevent the ingestion of PTP pieces.抄録全体を表示PDF形式でダウンロード (4459K) -
小野 良祐1988 年 39 巻 1 号 p. 54-59
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーThis paper is to report our study on the indications and limitations of radiotherapy of adenocarcinoma of the lung based on the results of five-year survivors among the cases of unresectable adenocarcinoma.
Material consisted of 341 cases of adenocarcinoma of the lung treated with radiotherapy at the National Cancer Center Hospital between May, 1962 and June, 1982. Histopathological diagnosis was confirmed by biopsy in all the cases. Among these 341 cases, 11 patients survived for more than 5 years. Analyzing these 11 cases according to the TNM classification of the UICC, 9 cases were stage I, 2 cases were stage III, and there were no long-term surviving stage II or IV cases. Of the 11 cases 3 cases are presently alive.
Analyzing the 8 fatal cases, 2 succumbed due to brain metastasis following local recurrence and 2 cases had double primary cancer of thyroid cancer and lung cancer.
The remaining 4 cases did not show recurrence or metastasis and succumbed due to pneumonia.抄録全体を表示PDF形式でダウンロード (1074K) -
坂口 正範, 谷内山 仁, 山本 香列1988 年 39 巻 1 号 p. 60-66
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーA case of laryngeal paraganglioma is reported. Laryngeal paraganglioma is a rare neoplasm, and this is the fourth case in Japan.
A 39-year-old woman had complained of occasional hemoptysis since December 1984, and was reffered to our clinic (Nagano Red Cross Hospital) in May 1985. There was a firm, tender swelling in the left side of her neck next to the cricoid cartilage. Indirect laryngoscope revealed a red, broad-stemmed, submucosal tumor just below the left vocal cord. Radiological examination showed a subglottic mass which was extending from the level of the cricoid cartilage downwards for approximately 1 cm. A biopsy of the neck tumor was performed and histological report was intramuscular hemangioma. In July 1985 the tumor was totally removed after a preliminary tracheostomy. The tumor was found to be located between the cricoid cartilage and the first tracheal ring. The histological diagnosis of the tumor was paraganglioma.
In the present paper the anatomy and terminology of the paraganglia and the clinical characteristics of the laryngeal paraganglioma are also discussed.抄録全体を表示PDF形式でダウンロード (6787K) -
末永 通, 橋本 紘治, 佐藤 公輝, 佐藤 信清, 福田 諭, 酒井 昇, 田中 克彦, 寺山 吉彦1988 年 39 巻 1 号 p. 67-70
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーSince the cuff-botton like canula for tracheal stoma was reported by Hashimoto et al. in 1980, we have experienced additional 25 cases. The canula was not kept in 5 cases because of various disturbances. Some improvements have been added to the canula since the first report. In the present paper, we report an evaluation and suggestion for the proper usage of the canula.抄録全体を表示PDF形式でダウンロード (2253K) -
吉村 博邦1988 年 39 巻 1 号 p. 72-73
発行日: 1988/02/10
公開日: 2010/06/11
ジャーナル フリーPDF形式でダウンロード (1573K)
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